Wellspring Pain Center
LBN: Ajk Medical Services
Wellspring Pain Center is an health care organization with primary practice located at 6750 Hillcrest Plaza Dr Suite 215, Dallas TX 75230-1400. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Ajk Medical Services can be contacted via phone (972) 690-0550, or through Klymiuk, Andrew Michael via phone (972) 690-0550.
Contact Information
Primary practice address
6750 Hillcrest Plaza Dr Suite 215
Dallas TX 75230-1400
Phone: (972) 690-0550
Fax: (972) 690-3306
Website:
Authorized official contact:
Name: Klymiuk, Andrew Michael Doctor of Medicine (MD)
Phone: (972) 690-0550
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | K8265 | Texas |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | K8265 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | K8265 | Texas |
Profile Details
| NPI number | 1215208905 |
|---|---|
| LBN Legal business name | Ajk Medical Services |
| DBA Doing business as | Wellspring Pain Center |
| Authorized official | Klymiuk, Andrew Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Jan 26th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215208905 | NPPES |
| Texas | Other | 1326264037 | NPI |
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